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目的了解慢性肾脏病(CKD)3～4期合并高血压患者血压控制情况、治疗现状,分析其影响因素。方法分析2010年4月至2011年4月265例在北京友谊医院CKD门诊规律随访3个月以上的CKD 3～4期合并高血压的患者的临床资料和治疗情况。结果高血压知晓率为97.7%,知道正确靶目标值的患者占83%,血压控制在130/80 mmHg以下的CKD高血压患者占39.2%。服用3种以上降压药物的患者占19.6%,利尿剂使用比例6.8%。结论应加强对CKD合并高血压患者的教育及自我管理的培训,临床医师应给予患者更加积极合理的降压治疗,提高血压控制率,改善预后。
Objective To understand the status of blood pressure control in patients with chronic kidney disease (CKD) stage 3 ~ 4 with hypertension, and to analyze the influencing factors. Methods From April 2010 to April 2011,265 cases of CKD clinics in Beijing Friendship Hospital were followed up for more than 3 months in CKD patients with stage 3 to stage 4 hypertension and clinical data and treatment. Results The awareness rate of hypertension was 97.7%, 83% of patients knew the correct target value, and 39.2% of those with CKD hypertension under 130/80 mmHg. Patients taking 3 or more antihypertensive drugs accounted for 19.6% and diuretics 6.8%. Conclusion The training of education and self-management of CKD patients with hypertension should be strengthened. Clinicians should give more positive and reasonable antihypertensive treatment to patients, improve the blood pressure control rate and improve the prognosis.